| NPI | 1801982400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 24544) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NC 2016-01376) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-01-27 |